Health Education Programs to Improve Foot Care Behavior and Reduce Stress Levels among People with Type 2 Diabetes: A Systematic Review
DOI:
https://doi.org/10.61841/47gjeb59Keywords:
Health Education, Foot-Care Behavior, Stress Level, DiabetesAbstract
The complications of diabetes among people are a major health concern. Foot problems such as neuropathy, ulcer and ultimately amputation are a great burden on people with diabetes. Diabetes foot education programs can influence the behavior of people in practicing foot care behavior and controlling their stress levels. However, the educational approaches used by educators are varied. Therefore, it is important to assess the education programs from various evidence-based practices. This systematic review aims to assess the health education programs to improve foot care behavior and reduce stress levels among people with type 2 diabetes. We searched six databases: EBSCOhost medical collections (MEDLINE, CINAHL, Psychology and Behavioral Sciences Collection), SAGE, Wiley Online Library, ScienceDirect, SpringerLink and Web of Science, for articles published from January 2013 to December 2018. The search was based on the inclusion criteria and keywords including ‘health’, ‘education’, ‘foot’, ‘care’, ‘stress’, and ‘diabetes’. Fourteen studies were assessed and reviewed in the final stage. The findings of this study support the claim that a health education programs increase foot care behavior scores and reduces stress levels. However, there were certain methodological concerns in the reviewed articles, indicating the need for further evaluation. In the future, researchers and practitioners must implement a vigorous education program focusing on diabetes foot care among the population.
Downloads
References
[1] World Health Organization, “Global Report on Diabetes,” Isbn, vol. 978, p. 88, 2016.
[2] PERKENI, Pengelolaan dan Pencegahan Diabetes Melitus Tipe 2 di Indonesia 2015. 2015.
[3] L. M. Akhu-Zaheya and Y. S. Wa’ed, “The effect of short message system (SMS) reminder on adherence to a healthy diet, medication, and cessation of smoking among adult patients with cardiovascular diseases,” International journal of medical informatics, vol. 98, pp. 65–75, 2017.
[4] S. K. Ahmad Sharoni, H. S. Minhat, N. A. Mohd Zulkefli, and A. Baharom, “Health education programmes to improve foot self-care practices and foot problems among older people with diabetes: a systematic review,” International journal of older people nursing, vol. 11, no. 3, pp. 214–239, 2016.
[5] R. E. Castro-López, J. M. Chávez-Mayol, O. M. Rodríguez-Piñeyro, G. Melendez-Mier, and M. L. Cervantes-Molina, “Use of hyperbaric oxygen therapy in T2 diabetics with pelvic lesions. Clinical experience,” Revista Médica del Hospital General de México, pp. 4–11, 2017.
[6] M. Hemmati Maslakpak, A. Shahbaz, N. Parizad, and M. Ghafourifard, “Preventing and managing diabetic foot ulcers: application of Orem’s self-care model,” International Journal of Diabetes in Developing Countries, vol. 38, no. 2, pp. 165–172, 2018.
[7] K. A. Paller and A. D. Wagner, “Observing the transformation of experience into memory,” Trends in cognitive sciences, vol. 6, no. 2, pp. 93–102, 2002.
[8] M. S. D’Souza et al., “Foot care behaviors among adults with type 2 diabetes,” Primary Care Diabetes, vol. 10, no. 6, pp. 442–451, 2016.
[9] M. Baba, J. Duff, L. Foley, W. A. Davis, and T. M. E. Davis, “A comparison of two methods of foot health education: The Fremantle Diabetes Study Phase II,” Primary Care Diabetes, vol. 9, no. 2, pp. 155–162, 2015.
[10] Y. Yamashita et al., “Dynamic contrast-enhanced MR imaging of uterine cervical cancer: pharmacokinetic analysis with histopathologic correlation and its importance in predicting the outcome of radiation therapy,” Radiology, vol. 216, no. 3, pp. 803–809, 2000.
[11] E. Nursalam, “Education in Nursing,” Jakarta: Salemba Medika, 2008.
[12] F. Efendi, C. Chen, N. Nursalam, N. W. F. Andriyani, A. Kurniati, and S. A. Nancarrow, “How to attract health students to remote areas in Indonesia: a discrete choice experiment,” The International journal of health planning and management, vol. 31, no. 4, pp. 430–445, 2016.
Downloads
Published
Issue
Section
License

This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format for any purpose, even commercially.
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation .
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.
